| NPI | 1366201063 | 
|---|---|
| Doing Business As | TGEN CLINICAL LABORATORY | 
| Entity Type | Organization | 
| Authorized Contact | AMY LORENE STOUFFER Director Of Clinical Operations 602-343-8773  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2024-03-15 | 
| Last Update Date | 2024-03-15 |